Signon Request Forms

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To requests signons for Via Christi applications, print and complete the "Employee  System Access Request" or "Non-Employee System Access Request" form. Fax it to the Help Desk number listed on the form. Your user name and password will be returned to you either by email or regular mail.

(To view and print the above forms, you will need Adobe Acrobat Reader.)

If you are not sure if you have a signon or cannot remember the user name or password, call 316-689-6111.

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